2018 Fl Smmc Referral Quiz
Referral Quiz
- 1.Select the scenario where the caller should be referred to DCF.
- A.
• I want to request another Medicaid Gold Card.
- B.
• I want to request transportation services.
- C.
• I need to change my Primary Care doctor.
- D.
• I have straight Medicaid and need to find a dentist.
- 2."My baby was just born and I need to activate his Medicaid. Who should I call?"
- A.
• DCF
- B.
• SSA
- C.
• AHCA Medicaid Helpline
- D.
• The Health Plan
- 3."Where can I get another Medicaid Gold Card?"
- A.
• SSA
- B.
• AHCA Medicaid Helpline
- C.
• SMMC Help Line
- D.
• DCF
- 4."My name is Dr. Smith and I need to verify the Medicaid eligibility for Jon Doe. Where do I call?"
- A.
• SSA
- B.
• AHCA Medicaid Helpline
- C.
• Provider Needs Eligibility Information
- D.
• DCF
- 5."I just got married and need to change my last name. Who should I call?"
- A.
• Office of Demographic Information
- B.
• DCF/SSA
- C.
• AHCA Medicaid Helpline
- D.
• SMMC Help Line
- 6.In which scenario should the caller be referred to the AHCA Medicaid Helpline?
- A.
• I want to apply for Medicaid.
- B.
• I want to change the name on my Medicaid case.
- C.
• I need a list of providers that accept Straight Medicaid.
- D.
• I have SSI and need to update my address.
- 7."I'm enrolled in XYZ Health Plan (HMO) and need to change my doctor. Who do I call?"
- A.
• SMMC Help Line
- B.
• Enrollees cannot change the doctor once enrolled.
- C.
• AHCA Medicaid Helpline
- D.
• XYZ Health Plan (HMO)
- 8."I just lost my job and need to apply for medical and food assistance. Who should I call?"
- A.
• SMMC Help Line
- B.
• DCF
- C.
• AHCA Medicaid Helpline
- D.
• Unemployment Office
- 9."My purse was stolen and I need a new health plan card. Who should I call?"
- A.
• DCF
- B.
• Health Plan
- C.
• AHCA Medicaid Helpline
- D.
• SMMC Help Line
- 10.I need a list of doctors affiliated with my health plan. Who should I call?
- A.
• DCF
- B.
• Health Plan
- C.
• AHCA Medicaid Helpline
- D.
• SMMC Help Line
- 11."I live in a nursing home and they stopped providing breakfast, they have not given me my meds for 2 days, and they have not changed my wound dressing for over 2 days. Who do I report this to?"
- A.
• SSA
- B.
• AHCA Medicaid Helpline
- C.
• Abuse Hotline
- D.
• APD
- 12."I need to pick one of the Obamacare plans, where should I call?"
- A.
• Department of Elder Affairs
- B.
• Agency for Healthcare Administration
- C.
• Social Security Administration
- D.
• Affordable Care Act or Obama Care
- 13.Caller says: "My grandmother has passed and you all keep sending her letters about enrolling into a plan. Please stop, it makes me sad." Where should you refer?
- A.
• AHCA Medicaid Helpline
- B.
• SSA or DCF
- C.
• TPL Corrections
- D.
• Medicare
- 14.Caller says: "I just moved from Miami to Leon County. I'm still covered under the Dade County health plan and need to get my prescriptions." Where should you refer the caller?
- A.
• The Dade County MMA plan
- B.
• The Leon county MMA plan
- C.
• The AHCA Medicaid Helpline
- D.
• Leon County Pharmacy
- 15.Caller says: "I am 85 years old and need to find out if I qualify for elderly services. I heard the state can help older people with getting help in their home." Where should you refer?
- A.
• Department of Children and Families
- B.
• Department of Elder Affairs
- C.
• Agency for Persons with Disabilities
- D.
• Elderly Foundation of America
- 16.Caller says: "Someone has been using my Medicaid card to get pain medication. The pharmacy said they have filled over 10 prescriptions for a strong pain medication I don't even take. Someone is pretending to be me! " Where should you refer?
- A.
• Agency for Healthcare Administration
- B.
• Social Security Administration
- C.
• Medicaid Fraud Hotline
- D.
• Provider Eligibility Helpline
- 17.Caller says: "I need to get a brochure of all plans available in my region, where can I get it?"
- A.
• SMMC Website
- B.
• Post Office
- C.
• DCF Office
- D.
• Clerk of Court Office
- 18."I just found out that I 'm pregnant and I need to apply for Pregnancy Medicaid." Where should you refer?
- A.
• Healthy Babies and Children
- B.
• Florida Moms Association
- C.
• AHCA Medicaid Helpline
- D.
• Department of Children and Families
- 19.The caller states her child has autism and needs information on the APD waiver, where should you refer?
- A.
• Department of Elder Affairs
- B.
• Agency for Healthcare Administration
- C.
• Department of Children and Families
- D.
• Agency for Persons with Disabilities
- 20.The caller states they need another MediKids blue card. Where should you refer?
- A.
• MediKids
- B.
• KidCare
- C.
• DCF
- D.
• SSA
- 21.The caller wants to find out if a mouth guard is covered under her plan for children's dental. Where should you refer?
- A.
APD
- B.
• DCF
- C.
• AHCA
- D.
• Health Plan
- 22.The caller needs to find out about Medicare prescription coverage. Where should you refer?
- A.
• SSA
- B.
• Medicare
- C.
• DCF
- D.
• AHCA
- 23.The caller needs to update a private insurance on their case. Where should you refer?
- A.
• SSA
- B.
• DCF
- C.
• AHCA
- D.
• Third Party Liability
- 24.The caller has questions about how Share of Cost works, where should you refer?
- A.
• SSA
- B.
• AHCA
- C.
• DCF
- D.
• DOEA
- 25.The caller has questions about their Medicare Advantage Plan, where should they call?
- A.
• SSA
- B.
• DOEA
- C.
• Medicare
- D.
• AHCA
Questions: 20 | Attempts: 181 | Last updated: Aug 31, 2018
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